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Samenvatting foetaal welzijn tijdens de ontsluitingsfase $5.88
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Samenvatting foetaal welzijn tijdens de ontsluitingsfase

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uitgebreide en duidelijke samenvatting, hiermee ben ik op het examen van fysiologische baring goed geslaagd

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  • August 16, 2021
  • 4
  • 2020/2021
  • Summary
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Foetaal welzijn tijdens ontsluitingsfase
Hoe kan je dit beoordelen
- Foetale harttonen
- Foetale bewegingen
- Vruchtwater
- Mbo (bloedonderzoek)

Foetale harttonen
Hoe?  hoorn van Pinard, doptone, CTG, STAN
Voorkeur naar CTG en STAN, hiermee kan je harttonen, variabiliteit en desiriliteit horen, met pinard en doptone
alleen harttonen.

30 min CTG bij opname en nadien om de 30’ met doptone minimum 1’ na ctie.
Bij vermoeden nood: continu ctg of STAN of MBO

Verdedigingsmechanisme van foetus:
- Hypoxemie:
o 02 gebrek  invloed arteriële bloed maar cel- en orgaanfucnties blijven intact
o Foetus: cellulaire O2 opname en minder bewegingen
o Langdurige hypoxemie: groeivertraging
o Dagen vol te houden
- Hypoxie
o Perifere weefsels minder doorbloed
o Foetus: toename stresshormoon en minder perifere doorbloeding
o Tgv minder perifere weefsels  centrale weefsels
o Anaëroob mechanisme in perifere weefsels
o Enkele uren vol te houden
- Asfyxie
o Thv cel te weinig O2
o Foetus: activatie orthosympatisch zws + toename stresshormoon
o Anaëroob metabolisme in centrale organen
o Enkele minuten vol te houden kan fataal zijn

Beoordeling CTG

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